Influence of evidence-based nursing on peripheral nerve conduction velocity and foot complications of elderly diabetic patients

Abstract

Objective To explore the impact of evidence-based nursing on the peripheral nerve conduction velocity and foot complications of elderly diabetic patients. Methods A total of 90 patients with diabetes mellitus treated in our hospital from June, 2015 to July, 2016 were selected and were randomly divided into observation group and control group, 45 cases in each group.The patients of the control group were given routine nursing, while the patients of the observation group were given the evidence-based nursing.The changes of nerve conduction velocity after nursing, foot complications, fasting blood glucose, postprandial two-hour blood glucose, nursing effect and satisfaction of the two groups after nursing were observed and compared. Results The conducting speed of median nerve, common peroneal nerve and ulnar nerve of the two groups were all improved after treatment, with(53.78±5.12)m/s, (43.58±5.02)m/s and(56.89±5.02)m/s for the observation group and(50.12±5.89)m/s, (38.78±3.98)m/s and(52.12±6.02)m/s for the control group, which showed that the conducting speed of the observation group was higher than that of the control group (P<0.05). The fasting blood glucose and postprandial blood glucose of the two groups were all decreased (P<0.05), and the fasting blood glucose and postprandial blood glucose of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). The total effective rate of the observation group was (95.56%) higher than that of the control group (77.78%), and the difference between the two groups was significant (P<0.05). After nursing, the satisfaction degree of the observation group was 88.89%, which was higher than the control group's 68.89%, and the difference was statistically significant (P<0.05). The foot pain, toe joint swelling and erythema of the observation group was lower than that of the control group, and the differences were statistically significant (P<0.05). Conclusion The evidence-based nursing for the elderly diabetic patients can improve the peripheral nerve conduction velocity, alleviate the clinical symptoms and improve the clinical therapeutic effect. Key words: Evidence-based nursing; Diabetic peripheral neuropathy; Foot complications